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LATEST- CMN 568 Unit 3; Questions and Answers 100% Solved
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LATEST- CMN 568 Unit 3; Questions and Answers 100% Solved
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LATEST- CMN 568 Unit 3; Questions and Answers 100%Solved
What are the 3 characteristics of Asthma CORRECT ANS-Bronchoconstriction
Airway Inflammation
Reversible airflow limitation
Which inhaled anticholinergic is best used for asthma pt. w/an intolerance to beta agonist or
w/ bronchospasms due to beta blocker meds? CORRECT ANS-Ipratropium Bromide
What is the primary tx for pt. w/moderate to severe asthma exacerbations who do not
respond promptly and completely to SABA? CORRECT ANS-Systemic Corticosteroids
Which bacterial infections predispose exacerbations of asthma CORRECT ANS-M.
Pneumoniae and C. Pneumoniae
Is routine use of antimicrobials recommended for acute exacerbations of asthma CORRECT
ANS-No, only use when likelihood of acute bacterial respiratory tract infection
, LATEST- CMN 568 Unit 3; Questions and Answers 100%
Solved
Name short acting beta agonist CORRECT ANS-albuterol, levalbuterol, bitolerol, pirbuterol,
terbutaline
What does a SABA do? CORRECT ANS-acts directly by relaxing bronchial smooth muscles.
What do long-term pharmacologic agents accomplish for asthma pt. CORRECT ANS-act
primarily to attenuate airway inflammation.
Why take long-term pharmacologic agents for asthma daily? CORRECT ANS-to achieve and
maintain control of persistent asthma independent of symptoms.
What does the NAEPP recommend as the cornerstone of daily treatment of persistent
asthma? CORRECT ANS-daily anti-inflammatory therapy with inhaled corticosteroids
Role of corticosteroids with asthma CORRECT ANS-Reduce inflammation (acute and
chronic) = improved airflow, decreased airway hyper-responsiveness and fewer asthma
exacerbations, and potentiate the action of beta-adrenergic agonist.
, LATEST- CMN 568 Unit 3; Questions and Answers 100%
Solved
1st. line treatment agent for all pt w/persistent asthma (long term controller) CORRECT
ANS-Inhaled Corticosteroids
How often to most patient use inhaled corticosteroids? CORRECT ANS-Twice daily to
provide adequate control.
How long can it take to see maximum response of inhaled corticosterioids? CORRECT ANS-
Months
What can a patient do to reduce side effects of inhaled corticosteroids? CORRECT ANS-
Rinse mouth after each use
A patient has an exacerbation of asthma, what is the most effective treatment to achieve
prompt control? CORRECT ANS-Systemic (oral) corticosteroids
, LATEST- CMN 568 Unit 3; Questions and Answers 100%
Solved
Dose of oral corticosteroids for children during exacerbation of asthma CORRECT ANS-1-2
mg/kg/day.
Can be either a single dose or divided BID.
MAX 60 mg/day
Dose of oral corticosteroids for adults during exacerbation of asthma CORRECT ANS-40-60
mg/day
either as a single dose of divided BID
Duration of treatment of oral corticosteroids for asthma exacerbation CORRECT ANS-3-10
days or until symptoms resolve
(no evidence that tapering dose of PO steroids prevents relapse)
When treating exacerbation of asthma, what is the preferred treatment plan? CORRECT
ANS-Alternate days rather than daily treatment.
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